Correction of recurrent inverted nipples with the Sakai method

An inverted nipple is a congenital condition that can be corrected with established surgical methods, although recurrence sometimes occurs. The correction of recurrent inverted nipples is challenging because of scars and fibrosis caused by previous surgical treatments. The authors treated 14 patients with 25 recurrent inverted nipples with the Sakai method. All patients were observed for more than 6 months. All of the resulting nipples were acceptable and fit into the normal nipple shapes described by Kim et al (Plast Reconstr Surg. 2006;118:1526-1531) (ie, rectangular, omega, round, cap, or slanting). Although the Sakai method is not new, it may be a useful option not only for ordinary inverted nipples but also for the correction of recurrent inverted nipples.